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General NPI Number Information
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NPI Number | 1265375927
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Entity Type | Individual
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Provider Name | TIFFANY KRISTINA SANTIAGO MD
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Gender | Female
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Dates
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Enumeration Date | 04/09/2026
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Last Update Date | 04/17/2026
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Provider Practice Location Address
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Address Line | 1601 WATSON BLVD
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City | WARNER ROBINS
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State | GA
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Zip | 31093-3431
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Country | US
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Telephone | 478-922-4281
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Fax |
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Provider Business Mailing Address
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Address Line | 5355 NW EAST PADEN CIR
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34986-2704
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 112233
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License Number State | GA
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